That seems like an excessively high bar to me, too.

I think physical dysphoria should be a requirement, but social dysphoria should not be a disqualifier. Of course, in my ideal world, all trans people would be entitled to extensive therapy, free of charge, to help them examine what they feel might be causing those issues. If therapy helps to eradicate their social dysphoria, then obviously that's a good outcome. But if both types of dysphoria are still persisting and are severe enough to interfere with the ability to live a normal life, then transition should come up as an option.